LINK TO RESEARCH
Primary Care Diabetes
Juan Pablo González-Rivas 1 ,
William Polonsky 2 ,
María María Infante-García 3 ,
Maritza Duran 4 ,
Eunice Ugel 5 ,
María Ines Marulanda 6 ,
Jeffrey I Mechanick 7 ,
Ramfis Nieto-Martínez 8
Background: Evidence suggests that depression is more common in patients with diabetes
than in the general population. However, contradictory results expose
controversy in this association.
Objective: To evaluate the relationship between diabetes and depression in a national
sample of Venezuelan adults.
Methods: The EVESCAM was a national population-based, cross-sectional, randomized
cluster sampling study, which assessed 3,454 adults from July 2014 to
January 2017 (response rate of 77.3%). Diabetes was defined using fasting
blood glucose and a 2-hour oral glucose tolerance test. Depressive symptoms
were determined using the Hospital Anxiety and Depression Scale.
Results: 3255 subjects were assessed. Depressive symptom score was different
between genders and among age groups (p<0.001), and similar in those subjects with or without diabetes (p=0.899). Depressive symptoms prevalence was higher in women than in men and increased with age (p<0.05), but was similar in those with and without diabetes (p=0.215). Using a multivariate regression analysis model, the association of depressive symptoms and diabetes remains non-significant after adjusting for age and gender (Odds ratio=0.98; 95% Confidence Intervals 0.95 - 1.02, p=0.504). Conclusion: Diabetes and depression were not associated in a large sample of Venezuelan adults.
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